Working as a CRNA in South Dakota

South Dakota offers significant opportunities for CRNAs, particularly in rural and critical access hospitals where anesthesia services are essential. Major health systems such as Sanford Health, Avera Health, and Monument Health employ CRNAs in Sioux Falls, Rapid City, and throughout the state’s network of community hospitals and surgical facilities. CRNAs are frequently the primary anesthesia providers in smaller and remote facilities, giving them broad clinical responsibility and a high level of autonomy.

South Dakota requires CRNAs to practice in collaboration with a licensed healthcare provider when administering anesthesia services. While the state has not opted out of federal physician supervision requirements, many hospitals and surgery centers allow CRNAs to practice at an advanced level based on credentialing and clinical experience. CRNAs work alongside surgeons, anesthesiologists, and interdisciplinary teams in both inpatient and outpatient settings.

With high demand for anesthesia providers across rural and urban regions, South Dakota offers competitive compensation and a variety of practice environments. CRNAs can work in trauma centers, ambulatory surgery centers, community hospitals, and independent anesthesia groups, making the state a strong choice for professionals seeking broad clinical exposure and stable employment opportunities.

Education and Certification

• Educational Requirement: CRNAs must complete a doctoral degree from an accredited nurse anesthesia program.
• Certification: After graduation, candidates must pass the National Certification Examination (NCE) administered by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).

Licensure

• South Dakota License: CRNAs must hold a valid South Dakota Registered Nurse (RN) license and apply for certification through the South Dakota Board of Nursing.
• Renewal: The NBCRNA Recertification Process for All Practicing CRNAs .

Scope of Practice

• Autonomy: In South Dakota, CRNAs are required to collaborate with other licensed health care providers when providing anesthesia services.
• Prescriptive Authority: CRNAs may have the authority to prescribe medications related to anesthesia and patient care.

Collaboration

Collaborative Care Model and Anesthesia Care (ACT) Model.

State Regulations

CRNAs should stay informed about changes in state laws and regulations affecting their practice. For current information, check out the South Dakota Association of Nurse Anesthetists: SDANA and South Dakota Department of Health as well as other relevant professional organizations.